- Guardian Life (Boston, MA)
- **Position Summary** The Lead of Provider Reimbursement will be responsible for leading a team of analysts in evaluating and optimizing our dental network ... leadership and a deep understanding of dental networks and provider compensation strategy. **You are:** A leader with strong...knowledge is a plus + Ability to manage and lead multiple projects and manage 4 or more direct… more
- Elevance Health (Hingham, MA)
- …of Health and Human Services). Under direction of management, the Audit and Reimbursement Lead will provide technical leadership, supervision and ... **Audit & Reimbursement Lead ** _This is United States,...or any combination of education and experience, which would provide an equivalent background. + **_This position is part… more
- Point32Health (Canton, MA)
- …REQUIREMENTS:** + Experience in the health insurance field specifically with contracting, provider reimbursement , and claims concepts is needed. Experience with ... a proactive self-starter with independent initiative and strong skills to strategically lead the behavioral health provider account management team. The … more
- Point32Health (Canton, MA)
- …Director, Network & Provider Analytics and other members of the Network & Provider Analytics team, the Senior Manager will lead the analytic support of ... payment changes. + Maintains broad, comprehensive knowledge and understanding of provider contractual arrangements including value based reimbursement mechanisms… more
- WellSense (Boston, MA)
- …Serves as the primary liaison between Well Sense Health Plan ("Plan") and key provider organizations, taking the lead and promoting collaboration within Plan, as ... Sr. Provider Relations Consultant- (MA residents)-$5000 sign on bonus...years ago as Boston Medical Center HealthNet Plan, we provide plans and services that work for our members,… more
- Highmark Health (Boston, MA)
- …+ Lead negotiations of assigned Ancillary and small hospital reimbursement and contractual terms. Development and execution of work plans and strategy ... for provider contracting initiatives. + Execute Highmark provider contracting strategy related to assigned ancillary reimbursement and contracting. Including… more
- Point32Health (Canton, MA)
- …in value-based contract negotiations, including a substantive understanding of provider reimbursement methodologies. **SKILL REQUIREMENTS:** + Excellent ... utilized by Point32Health to understand the performance, of the provider network. + Lead and/or participate in...train people leaders on engaging with their teams and provide parameters on how to recruit and retain talented… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …unit comprised of approximately 140 associates. It encompasses a member and provider call center, provider correspondence and appeals, clinical review, member ... team. FEP is BCBSMA's single largest account Position Summary: The RN Clinical Provider Post Service Review Manager , led by a Registered Nurse, is responsible… more
- ThermoFisher Scientific (Waltham, MA)
- …Drive adoption of new and improved enterprise risk management processes. + Lead or support insurance reimbursement , bankruptcy matters, and affirmative ... Fisher has an exciting opportunity for experienced Litigation Counsel to: + Lead a variety of complex civil litigations, mostly defensive and principally commercial,… more
- Evident Scientific (Waltham, MA)
- Director - Global IT Provider Management Job ID #: 1646 Company: Evident Posting Date: Sep 15, 2024 **Working Location:** **MASSACHUSETTS, WALTHAM** Are you looking ... day. **Let's inspire healthier lives, together.** **Job Description** Evident's Global IT Provider Manager plays a pivotal and strategic role in streamlining IT… more
- Center For Health Information And Analysis (Boston, MA)
- …policy impact! CHIA is seeking a Senior Health Policy Analyst to provide hands-on contributions in the development and implementation of data-driven pricing policy ... within the Provider Finance Pricing team. As a Senior Health Policy...data submissions, and identifying best practices. You will also lead of participate in cross-unit workgroups to enhance data… more
- Pfizer (Cambridge, MA)
- …and Eucrisa + Lead the execution and maintenance of patient access services + Lead and manage the Hub/ reimbursement services and vendor engagement + Lead ... the brand teams (HCP, Patient, and Access Integration), field reimbursement teams, legal, external vendors, Global Health & Social...Difference. In addition, the Director will be assigned to lead and/or assist in the development and execution of… more
- Elevance Health (Hingham, MA)
- **Audit & Reimbursement III- Medicare Cost Report Audit** **_Locations:_** _This is a virtual United States based position._ **National Government Services** is a ... and Medicaid Services to transform federal health programs. The **Audit and Reimbursement III** will support our Medicare Administrative Contract (MAC) with the… more
- Elevance Health (Hingham, MA)
- **Audit & Reimbursement III- Medicare Cost Report Appeals** **Location** : This is a virtual position; US based **National Government Services** is a proud member of ... and Medicaid Services to transform federal health programs. The **Audit and Reimbursement III** will support our Medicare Administrative Contract (MAC) with the… more
- Elevance Health (Hingham, MA)
- **Audit & Reimbursement Senior- Appeals** _This is a United States based, virtual position._ **National Government Services** is a proud member of Elevance Health's ... Medicaid Services to transform federal health programs. The **Audit and Reimbursement Senior-Appeals** will support our Medicare Administrative Contract (MAC) with… more
- J&J Family of Companies (Boston, MA)
- Field Reimbursement Manager, CAR-T - Northeast Region - 2406206269W **Description** Johnson & Johnson is recruiting for a Field Reimbursement Manager, CAR-T to ... impact health for humanity. Learn more at https://www.jnj.com/ . The Field Reimbursement Manager (FRM) is responsible for serving as the primary field-based … more
- Elevance Health (Boston, MA)
- …8:30am-5:00pm **Responsible for coordinating all activities of an audit or reimbursement team in the initiation and completion of assignments which includes ... + Provides oversight and leadership of the Part A provider enrollment function as needed. **Requirements:** + a BA/BS...a BA/BS and a minimum of 8 years of audit/ reimbursement or related Medicare experience; or any combination of… more
- Takeda Pharmaceuticals (Cambridge, MA)
- …Manager, Reimbursement , Access and Channel Marketing, reporting into the Director, Reimbursement , Access and Channel Marketing Lead . This position is a part ... employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda's Privacy Notice… more
- Pfizer (Cambridge, MA)
- **Job Summary** Asset Specific + The Obesity Development Lead will be the single point of accountability for Obesity-related programs within PRD Clinical Development ... clinical development plans, obesity-related business development assessments and the provide expertise / leadership for late-development plans for early assets… more
- Pfizer (Andover, MA)
- …will directly impact patients. **What You Will Achieve** As a Supply Chain Lead , (SCL) your advanced knowledge and solid understanding of clinical study design and ... drug supply processes, you will lead and manage matrix teams responsible for the end-to-end...both Small Molecule and Biologics programs. You will also provide consult on all aspects of investigational product strategies… more